Individual
LEA ANN FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2018 WESTERN AVE, KNOXVILLE, TN 37921-5718
(865) 544-0406
(865) 544-0480
Mailing address
6350 W ANDREW JOHNSON HWY DEPT 100, TALBOTT, TN 37877-8605
(800) 355-3565
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
9829
TN
Other
Enumeration date
09/07/2017
Last updated
09/07/2017
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